Journal List > Korean J Adult Nurs > v.27(3) > 1076332

Yang, Kim, Yu, Park, and Lee: Development of the Resilience Scale for Korean Nursing College Students

Abstract

Purpose

This study was to develop and test the resilience scale for Korean nursing college students.

Methods

The initial 82 items (7 factors) were developed through literature review and student interviews. Items were reduced to 55 items through content validity test by 5 experts and face validity tests by 20 nursing students. The preliminary Resilience Scale for Korean Nursing Students (RS_KNS) was administered to 302 nursing students of 4 universities in Chungnam. Data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's ⍺.

Results

Twenty-four items were selected for the final scale. Seven factors evolved from the factor analysis, which explained 61.9% of the total variance. The internal consistency, Cronbach's ⍺ was .84 and reliability of the subscales ranged from .60 to .77.

Conclusion

The resilience scale for Korean nursing college students demonstrated acceptable validity and reliability. It can be used to assess the resilience of nursing college students and is expected to get utilized in teaching and research.

REFERENCES

1.Earvolino-Ramirez M. Resilience: a concept analysis. Nursing Forum. 2007. 42(2):73–82.
crossref
2.Stephens TM. Nursing student resilience: a concept clarification. Nursing Forum. 2013. 48(2):125–33. http://dx.doi.org/10.1111/nuf.12015.
crossref
3.Kim JH. Resilience. Kyung-gi: Wisdomhouse Inc.;2011.
4.Ahern NR., Kiehl EM., Sole ML., Byers J. A review of instruments measuring resilience. Issues in Comprehensive Pediatric Nursing. 2006. 29(2):103–25. http://dx.doi.org/10.1080/01460860600677643.
crossref
5.Windle G., Bennett KM., Noyes J. A methodological review of resilience measurement scales. Health and Quality of Life Outcomes. 2011. 9:8. http://dx.doi.org/10.1186/1477-7525-9-8.
crossref
6.Park MY. The perceived causal structure model on stress experienced by nursing students during clinical practice. The Journal of Korean Academic Society of Nursing Education. 2004. 10(1):54–63.
7.Goh JK. The differences of stressors at grade and ways of coping in nursing students. Health Communication. 2010. 5(2):79–86.
8.Gillespie BM., Chaboyer W., Wallis M. Development of a theoretically derived model of resilience through concept analysis. Contemporary Nurse. 2007. 25(1-2):124–35.
crossref
9.Kim DJ., Lee JS. Influence of ego-resilience and self-efficacy on satisfaction in major of nursing student. The Journal of Korean Academic Society of Nursing Education. 2014. 20(2):244–54. http://dx.doi.org/10.5977/jkasne.2014.20.2.244.
crossref
10.Park YS., Kwon YH. Ego resilience, problem solving process and clinical practice competency in nursing students. The Journal of Korean Academic Society of Nursing Education. 2013. 19(3):341–50. http://dx.doi.org/10.5977/jkasne.2013.19.3.341.
crossref
11.Ji EJ., Bang MR., Jeon HJ. Ego resilience, communication ability and problem-solving ability in nursing students. The Journal of Korean Academic Society of Nursing Education. 2013. 19(4):571–9. http://dx.doi.org/10.5977/jkasne.2013.19.4.571.
crossref
12.Lee YK., Kim HL. The relationship of ego resilience and involvement with the experience of anxiety and perceived stress in nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2014. 15(4):1953–62. http://dx.doi.org/10.5762/KAIS.2014.15.4.1953.
crossref
13.Hong ES. Conceptual understanding of resilience and instructional suggestion. Korean Journal of Special Education. 2006. 41(2):45–67.
14.McAllister M., McKinnon J. The importance of teaching and learning resilience in the health disciplines: a critical review of the literature. Nurse Education Today. 2009. 29(4):371–9.
crossref
15.Connor KM., Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety. 2003. 18(2):76–82. http://dx.doi.org/10.1002/da.10113.
crossref
16.Friborg O., Hjemdal O., Rosenvinge JH., Martinussen M. A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment? International Journal of Methods in Psychiatric Research. 2003. 12(2):65–76.
crossref
17.Klohnen EC. Conceptual analysis and measurement of the construct of ego-resiliency. Journal of Personality and Social Psychology. 1996. 70(5):1067–79. http://dx.doi.org/10.1037/0022-3514.70.5.1067.
crossref
18.Block J., Kremen AM. IQ and ego-resiliency: conceptual and empirical connections separateness. Journal of Personality and Social Psychology. 1996. 70(2):349–61.
19.Lee ES., Kim SH. Development and validation of the ego-resilience scale for university students. Korean Journal of Counseling. 2012. 13(6):3077–94.
20.Ahern NR. Adolescent resilience: an evolutionary concept analysis. Journal of Pediatric Nursing. 2006. 21(3):175–85. http://dx.doi.org/10.1016/j.pedn.2005.07.009.
crossref
21.Windle G. What is resilience? a review and concept analysis. Reviews in Clinical Gerontology. 2011. 21(2):152–69. http://dx.doi.org/10.1017/S0959259810000420.
crossref
22.Grove SK., Burns N., Gray JR. Practice of nursing research: appraisal, synthesis, and generation of evidence. 7th ed.St. Louis, Missouri: Elsvier;2013. p. 443.
23.Lee EK., Lim NY., Park HA., Lee IS., Kim JI., Bai J, et al. Nursing research and statistical analysis. Seoul: Soomoonsa;2009. p. 207, 252, 263.
24.Bartone RT., Ursano RJ., Wright KM., Ingraham LH. The impact of a military air disaster on the health of assistance workers: a prospective study. The Journal of Nervous and Mental Disease. 1989. 177(6):317–28.
25.Cho JY. A study on relationships among responses of violence experience, hardiness and job satisfaction in emergency department nurses. [master's thesis]. Incheon: Inha University;2011. p. 17, 68.
26.Shin WY., Kim MK., Kim JH. Developing measures of resilience for Korean adolescents and testing cross, convergent, and discriminant validity. Studies on Korean Youth. 2009. 20(4):105–31.
27.Friborg O., Barlaug D., Martinussen M., Rosenvinge JH., Hjem-dal O. Resilience in relation to personality and intelligence. International Journal of Methods in Psychiatric Research. 2005. 14(1):29–42.
crossref
28.Sinclair VG., Wallston KA. The development and psychometric evaluation of the Brief Resilient Coping Scale. Assessment. 2004. 11(1):94–101.
crossref
29.Kobasa SC. Stressful life events, personality, and health: an inquiry into hardiness. Journal of Personality and Social Psychology. 1979. 37(1):1–11.
crossref
30.Lee K. Shin S. Validity of instrument development research in Korean nursing research. Journal of Korean Academy of Nursing. 2013. 43(6):697–703. http://dx.doi.org/10.4040/jkan.2013.43.6.697.

Figure 1.
Conceptual framework of resilience for nursing college students.
kjan-27-337f1.tif
Table 1.
The Demographic Characteristics of the Participants (N=302)
Variables Categories n (%) or M±SD
Age (year)   22.7±0.9
Grade Junior 151 (50.0)
Senior 151 (50.0)
Religion Christian 57 (18.9)
Buddhism 19 (6.3)
Catholic 43 (14.2)
No religion 183 (60.6)
Economic status s High 6 (2.0)
Middle 257 (85.4)
Low 38 (12.6)
Health status Very poor 0 (0.0)
Poor 33 (11.0)
Moderate 164 (54.5)
Good 92 (30.5)
Very good 12 (4.0)
Alcohol No 35 (11.5)
<1 /month 127 (42.1)
2~4/month 127 (42.1)
2~3/week 13 (4.3)
≥4/week 0 (0.0)
Smoking No 292 (97.0)
Past smoker 9 (3.0)
Current smoker r 0 (0.0)
Table 2.
Factor Analysis Results in 7 Dimensions
Items SC P CA ER StS R SoS
1 I have enough energy to do what I have to do. .78 .18 -.07 .00 .12 .12 .13
2 I am confident to handle any difficult assignment given to me. .81 .18 .18 .12 .09 .18 .05
3 I usually take my work in stride. .73 .04 .22 .15 .07 .18 .00
14 If I write down the things I am grateful for, it will be a very long list. .16 .70 .12 .10 -.01 .26 -.04
15 I have few things I feel grateful for. .06 .75 .02 .06 -.05 .11 .25
16 I think that difficult problems will work out eventually as time goes. .09 .73 -.06 .09 .24 -.11 .09
17 I expect and imagine a better me. .15 .59 .26 .06 .18 .09 .24
27 I prefer solving problems myself to letting others decide everything for me. .13 .11 .82 .08 .05 .14 -.05
28 When facing problems, I try to solve the problems rather than hiding them .11 .08 .72 .26 .11 .09 .20
40 I can control my emotions when difficult things happen. -.07 .13 .03 .71 .12 .09 -.03
44 I am good at controling unpleasant or painful emotions such as sadness, fear and anger. .19 .01 .03 .82 .05 .07 -.02
45 I am good at keeping my concentration or logical mind even in a stressful situation. .12 -.04 .24 .68 .14 .05 .05
46 When I am too upset, I control my emotions first and then start to act. .04 .14 .07 .64 .07 -.05 .15
51 I take things one day at a time .10 .11 .17 .18 .81 .03 -.02
52 I effectively use my time as I know when to study and when to refresh. -.02 .20 .04 .13 .75 .13 .06
55 I usually get assignments done in advance. .17 -.04 -.03 .08 .80 .01 .07
8 I can lead conversations smoothly depending on partners or circumstances. .20 -.04 .19 .07 -.09 .63 .10
9 I can keep good relationships with clinical practicum supervisors or nurses. .16 .01 .06 .04 .09 .77 .05
10 I am good at establishing rapport with patients. -.02 .19 .05 -.03 .17 .78 -.04
11 I am good at building good relations with people in clinical practices. .14 .14 -.02 .09 .01 .73 .26
33 When I am in a difficult situation, I consult with and seek advice from friends. .03 .06 -.03 .07 -.11 .21 .69
34 I have few friends to open up my minds. -.08 .19 .09 -.01 -.06 .05 .76
35 When there are things I do not know well, I usually study with or share relevant materials with friends. .10 -.00 .11 .18 .17 .04 .67
37 I have family that cheers me up all the time. .17 .21 -.03 -.10 .20 -.01 .57
Explained variance 2.10 2.23 1.52 2.30 2.15 2.43 2.12
% of variance 8.77 9.30 6.31 9.60 8.95 10.11 8.85
Cumulative% of variance 8.77 18.07 24.38 33.98 42.98 53.09 61.94

SC=self confidence; P=positivity; CA=coping ability; ER=emotional regulation; StS=structural style; R=relationship; SoS=social support.

Table 3.
Correlation Coefficients of Resilience and Hardiness
Variables Resilience SC Positivity CA ER StS Relationship Hardiness
Resilience                                                         .61
SC .63 .43
Positivity .68 .39 .57
CA .55 .34 .27 .40
ER .58 .25 .23 .34 .26
StS .59 .27 .26 .21 .30 .30
Relationship .58 .37 .28 .28 .16 .15 .21
SoS .58 .20 .36 .18 .15 .16 .24 .38

SC=self confidence; CA=coping ability; ER=emotional regulation; StS=structural style; SoS=social support; p<.05, p<.001.

Table 4.
Reliability of the Resilience Scale for Nursing College Students
Variables Item No. No. of items Cronbach's ⍺
Resilience   24 .84
Self confidence 01, 02, 03 3 .77
Positivity 14, 15, 16, 17 4 .72
Coping ability 27, 28 2 .60
Emotional regulation 40, 44, 45, 46 4 .72
Structured style 51, 52, 55 3 .76
Relationship 08, 09, 10, 11 4 .76
Social support 33, 34, 35, 37 4 .65
TOOLS
Similar articles